Crystal Pulido, L.P.N.

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

207006 Issued in TX

Practice address

4301 Wilson St
Maternal Child Unit
Fort Sill, OK 73503-4472

Phone

(580) 558-2255

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Crystal Brock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1215385257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST",
            "address_2": "MATERNAL CHILD UNIT",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034472",
            "telephone_number": "580-558-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST",
            "address_2": "MATERNAL CHILD UNIT",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034472",
            "telephone_number": "580-558-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIDO",
        "first_name": "CRYSTAL",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "207006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BROCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latifah Serita Porter
• Aaron Michael Proffitt, M.D.
• Vanessa Profit, PA-C
• Laura Catherine Pruitt, PH.D
• Bernie Puente, LCSW
• Kristi Ann Putnam, APRN, CNP
• Samantha Rae Quickle, FNP-C
• Evaristo Quinones, M.D.
• Rebecca S Rabb, RN
• Kathryn Louise Ragaglia, LCSW

• Licensed Vocational Nurse in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Licensed Vocational Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.